Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeastern Dermatology, PA

Organization Dermatology Physician · NPI 1922043629

Southeastern Dermatology, PA is a Dermatology Physician in Lumberton, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4390 Fayetteville Rd
Lumberton, NC 28358-2677
Phone: (910) 738-7154
Fax: (910) 738-4455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1922043629
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Hendricks — Medical Director · (910) 738-7154
NPI enumeratedJune 17, 2006
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address4390 Fayetteville Rd, Lumberton, NC 28358-2677

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